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      • Case Report : Prenatal diagnosis of mesoblastic nephroma

        ( Ji Sun Surh ),( Seon A Hwang ),( Han Na Park ),( Seung Ju Jeon ),( Suk Young Kim ) 대한산부인과학회 2011 Journal of Womens Medicine Vol.4 No.1

        When an abdominal mass is demonstrated on prenatal ultrasonography, the differential diagnosis includes adrenal tumors, ovarian cysts, bowel obstruction, and renal tumors. A 34-year-old pregnant women was referred to our hospital evaluation of a fetal abdominal mass in the left renal fossa. A solid, round, mass on left renal area was noted; the adrenal gland was visualized on the same side. Thus, we suspected an abdominal tumor of renal origin. After birth, a 6.6×4.4 cm round mass replacing the left kidney was demonstrated on ultrasonography and computed tomography. The neonate underwent a left nephrectomy at 9 days of life and confirmed a mesoblastic nephroma. The neonate was well discharged 11 days post-operatively. We report the case with a brief review of the literature.

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        Perinatal Outcomes Of Fetal Growth Restriction Between Late Preterm And Term Birth Infants

        ( Ji Sun Surh ),( Seon A Hwang ),( Han Na Park ),( Seung Ju Jeon ),( Soon Pyo Lee ),( Ka Hyun Nam ),( Suk Young Kim ),( Dong Woo Son ),( So Yeon Shim ),( Hae Jung Joe ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.8

        Objective To estimate the absolute increase in the risk for adverse neonatal outcomes of fetal growth restriction between late preterm and term birth and to identify risk factors for neonatal morbidity among late preterm and term birth infants. Methods A retrospective review of 2,954 singleton infant between 34 and 42 weeks of gestation born at our hospital over the 5 years were enrolled and they were divided into four groups as late preterm small for gestational age (SGA), late preterm adequate for gestational age (AGA), term SGA and term AGA, respectively. The prenatal ultrasonographic findings between SGA and AGA in late preterm birth were assessed. Maternal and neonatal complications were compared with SGA and AGA between late preterm and term birth infants. The statistical analyses for frequencies and relative risks in each group were calculated by SPSS ver. 19.0. Results In prenatal evaluation between SGA and AGA in late preterm birth, amniotic fluid volume, abdominal circumference and umbilical artery Doppler resistance index value were different significantly ( P<0.001). Preeclampsia and oligohydramnios were found more common in SGA of late preterm birth compared with AGA of term birth. Jaundice, respiratory distress syndrome, necrotizing enterocolitis, sepsis, congenital anomalies, hypoglycemia, and germinal matrix`s hemorrhage, occurred more frequent in SGA of late preterm birth than in AGA of term birth. Conclusion Not only adequate prenatal evaluation and obstetrical decision-making but also long-term evaluation are needed to improve perinatal outcomes of growth restricted infants in late preterm birth.

      • A case of Xanthogranulomatous inflammation Review of the lieterature

        ( Ji Sun Surh ),( Jin Woo Shin ),( Jung Suk An ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-

        The xanthogranulomatous inflammation is a chronic inflammatory disorder involed in normal tissue of affected organs. However, other organs in which xanthogranulomatous inflammation has been reported are the gallbladder, stomach, bone, urinary bladder, anorectal area, testis, epididymis, vagina and endometrium. Only a few cases have been reported in English medical journals. Xanthogranulomatous salpingoophoritis is a rare inflammatory lesion of the fallopian tube and ovary. It is characterized by a massive infiltration of the tissues by lipid-laden histiocytes admixed with lymphocytes, plasma cells and occasional multinucleated giant cells. The mechanism of this form of inflammatory response is not clear. Multiple etiologies have been attributed to the development of xanthogranulomatous salpingitis. Pelvic endometriosis, pelvic inflammatory disease, intrauterine contraceptive device, inborn error in lipid metabolism by macrophages, unsuccessful antibiotic therapy and radiotherapy have been suggested Clinically and radiologically, Xanthogranulomatous inflammation is mimicking tumor of the ovary and fallopian tube. To date, only 13 cases of xanthogranuloma-tous inflammation in the ovary and fallopian tubes. .In this paper we report a case of xanthogranulomatous inflammation in the female genital tract with review of the literature on this subject.

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